Active NPI
Vaniely Rodriguez, D.M.D
- Dentist
- Toa Alta, PR
National Provider Identifier
1124362942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2897
- Practice address
- Street Aguas Buenas Buzon 1413
Urb. Las Cascadas
Toa Alta, PR 00953-3200 - Phone
- (787) 528-4321
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2897 | PR | Primary |
Addresses
Primary practice location
Street Aguas Buenas Buzon 1413
Urb. Las Cascadas
Toa Alta, PR 00953-3200
Mailing address
Calle Aguas Buenas Buzon 1413 Urb.Las Cascadas
Toa Alta, PR 00953-3200
Phone (787) 528-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151014002136 | PR | Order and Referring Only - Oral Surgery | 5395054340 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1124362942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE AGUAS BUENAS BUZON 1413 URB.LAS CASCADAS",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533200",
"telephone_number": "787-528-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STREET AGUAS BUENAS BUZON 1413",
"address_2": "URB. LAS CASCADAS",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009533200",
"telephone_number": "787-528-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "VANIELY",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.